Individual
GABRIELLE RENE SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1952 NEW CREEK HWY, KEYSER, WV 26726-7494
(304) 597-1258
Mailing address
1952 NEW CREEK HWY, KEYSER, WV 26726-7494
(304) 597-1258
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
71009
WV
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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